Individual provider Active NPI

Rhonda E Baiocchi, PA

  • Physician Assistant
  • Novi, MI
National Provider Identifier
1831277375
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002926 Issued in MI
Practice address
39475 Lewis Dr Ste 200
Novi, MI 48377-2980
Phone
(248) 471-0675
Fax
(248) 471-0675
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002926 MI Primary

Addresses

Primary practice location

39475 Lewis Dr Ste 200
Novi, MI 48377-2980

Mailing address

27275 Haggerty Rd Ste 500
Novi, MI 48377-3635
Phone (248) 741-6901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000258 MI Practitioner - Physician Assistant 8325102817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC CurrentSince Nov 5, 2020 Accepting new patients
Southfield Radiology Associates PLLC CurrentSince Jan 15, 2007 Accepting new patients
Envision Medical Group PLLC Physician Assistant CurrentSince Nov 5, 2020 Accepting new patients

Locations

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

29409 Haggerty Rd
Ste 200
Novi, MI 48377

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1831277375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27275 HAGGERTY RD STE 500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773635",
            "telephone_number": "248-741-6901",
            "fax_number": "248-721-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772980",
            "telephone_number": "248-471-0675",
            "fax_number": "248-471-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIOCCHI",
        "first_name": "RHONDA",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.